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Home My WebLink About2014-01244 - windows CITY OF ORONO �� '� 2750 KELLEY PARKWAY * 2 0 1 4 - 0 1 2 4 4 * � DATE ISSUED: 10/24/2014 ORONO,MN 55356- 952) 249-4600 FAX: 952) 249-4616 � ADDRESS : 3680 LIVINGSTON AVE PIN : 17-117-23-34-0032 LEGAL DESC : NAVARRO : LOT O10 BLOCK 001 PERMIT TYPE : MINOR ALTERATIONS PROPERTY TYPE : RESIDENTIAL CONSTRUCTION TYPE : WINDOWS ACTIVITY : O/S BUILDING-UNDEFINED VALUATION : $ 2,000.00 NOTE: REPLACE(3)WINDOWS APPLICANT PERMIT FEE SCHEDULE 73.75 STATE SURCHARGE(VALUATION) I.00 TOM LATCHAM CUSTOM HOMES TOTAL 74.75 4711 ISLAND VIEW DRIVE Payment(s) MOiJND,MN 55364- (952)454-6449 CREDIT CARD 0622 74.75 Minnesota State License#: BUIL-BC686061 OWNER MOUM,CHERYL 3680 LIVINGSTON AVE WAYZATA,MN 55391- AGREEMENT AND SWORN STATEMENT The work for which this permit is issued shall be performed according to the approved plans and specifications,applicable City approvals,and the State Building Code. This permit is for only the work described and does not grant permission for additional or related work which requires separate permits. All provisions of laws and ordinances governing this type of work shall be compied with whether or not specified herein.This permit will expire and become null and void if construction authorized is not commenced within 180 days of the date of issuance,or if construction is suspended for a period of 180 days at any time after work has commenced. The applicant is responsible for assuring all required inspections aze requested in conformance with the State Building Code.This permit may be revoked at any time for due cause. G-� ��!�c� /l3 id�il"� Applicant Permitee Signature Date Issue y Signature Date City of Orono Building Permit Application for Maintenance / Replacement / Renovation (No structural expansion. Only windows, doors, siding, re-roof, etc.) , '� Mailing Address: permit number: i ��oNo� Po�X ss � Crystal Bay,MN 55323-0066 Date received: ,{ ^ Street Address: Received by. ;. `�;% 2750 Kelley Parkway Plan review fee: `� Orono,MN 55356 ��kF�t+��i�� Total Fee: � Main: 952-249-4600 Fax: 952-249-4616 www.ci.orono.mn.us This application form must be completed in full and all required information must be submitted. Incomplete applications will be returned. (Please print) GENERAL INFORMATION: r"- / . Job Site Address: �O ��' � ( ;� ,`�� •;'7�'I•i , ' �"•�G�� j��fZ: v) `�J Will this be a Parade of Homes,Remodelers Showcase wome or other Display Home? Yes No ff yr�s,a special event perrnit is required with Police Depaihnent and City Counci!approva/60 days prior to fhe event ShutUe bus 9eirice wiN be reyuired unless applicant demonshates sul�icient onsite parkMg is available. Non-permitted evenis wip not be albw�ed. CONTRACTOR/APPUCANT INFORMATION: Name: �;,�_�,)V.-, � ., �.�'.,��. <'�,:,��:,�i v� --i C�-�I�� t- ��eVv,,,�J�:�,,�-�1 � l� Ci State License# (j L �; y� �;� �, j Ex iration Date: '�/ 3 � /-� U/G Lead Certfication Number: ►�j��- -�� 1 � "; -�-( F�cpiration Date: s ; � � ,��},; (tw w�o.ic on nomes cnar wane constn.cted prior to l97s �J' Phone: (cell) �/ - <�' - (office) Mailing AddnesS: +-a i �=.S«v��E i,'��x 1 �)j� City: ��,��r�V! ZIP: �.5 3 �" `j Contact Person: -r-=,�,.,�I y!urr�,�y� Applicant is: Contractor / Homeowner �ckd.a,.� Email and/or Fax: ��-, L��-.1-.;�� y"��f�J T�� PROPERTY OWNER INFORMATION: Name: �' l i C�',`,..�,"1 �1 �`j�-� W`t Phone(daY)� �' - ,' - 1 7� Address: z_ � - lu�� /�'�t..c.C) �v" City: �l� , , �. , ZIP: �� Email and/or Fax: ` PROJECT INFORMATION: Overall ro"ect descri tion: �� l�t�� W�"`a.0�.'S Type of Project: My ea�th movement may also require ❑Door(s) ❑Remodel ❑Fire Damage MCWD review&permits: ❑Re-roof,asphalt ❑Repair ❑Storm Damage Minnehaha Creek Watershed District(MCWD) 18202 Minnetonka Blvd ❑Re-roof,cedar ❑Restoration ❑Water Damage Deephaven,MN 55391 ❑Re-roof.other(speciry) ❑Siding ❑Other:(specify) Phone: 952-471-0590 Fax: 952-471-0682 '�.Window(s) www.minnehahacreek.orq Estimated Construction Valuation of Project(excluding land) ; G D— APPLICANT ACKNOWLEDGEMENT: . Agrees to provide all information required or requested by the Building Department; • Certifies that the information supplied is true and correct to tfie best of hisTher knowledge. The applicant recognizes that they are solely responsible for submitting a oomplete application being aware that upon failure to do so,the staff has no attemative but to reject it until it is complete; • Some w all of the information that you are asked to provide on this application is dassified by State law as either private or confidential. Private data is information which generaNy cannot be given to the public but can be given to the subject of the data. Confidential data is information which generally cannot be given to either the public or the subject of the data. Our purpose and intended use of this information is to annually update our records and records of other govemmental agencies required by law. If ou refuse to su I the information,the a ication ma not be issued. ApPlicanYs Signature: +~� ''?7 -�=t% f-�'�°-'— Date: ,��J j� �;5% � ` ;�-i r. Owner's Signature: Date: �� "g ,�' DATE TIME /� CITY OF ORONO CALLED IN IQ- Y' INSPECTION N TICE �EDULED ��-Z9 i� 1� PERMIT NO. O/ 'D/a� p�-�ED ADDRESS � � OWNER T L ONE NO.�T��''�s � L _ CONTRACT�R ��/1� � G:��'�-�- QYI�I � DESCRIPTION �.%'�'LGt�f" (/L� DGc.�-� � ❑ FOOTING ❑ PLUMBING FINAL p EXCAV/GRADING/FILLING Q ❑ POURED WALL ❑ MECHANICAL RI ❑ LAKESHORFJWETLANDS y ❑ FRAMING ❑ MECHANICAL FINAL ❑ TREE REMOVAL Z ❑ INSULATION ❑ WOOD BURNER/FIREPLACE ❑ SITE INSPECTION Q ❑ RADON SLAB � WATER HOOK-UP ❑ PFlOGRESS � �NAL ❑ SEWER HOOK-UP ❑ COMPLAINT v ❑ DEMO-SITE O SEPTIC MAINT. ❑ FOLLOW-UP � 0 DEMO-FINAL � SEPTIC INSTALL ❑ HARD COVER REMOVAL J � PLUMBING RI ❑ SEPTIC FINAL ❑ FOUNDA710N/REMOVAL Z �NNERlCONTRACTOR TO MEET YOU:_YES_NO y COMMENTS: oc � � hJt b(IYkk�cv�.,rr�e�WS — J OO , - . � 'r"�hI e .St LG � s4Nl t- $��e ��-- a��L � Gaort� S .� W Q E�o+K �.s,nol�� — � , � �� w � j � ❑WORKSATISFACTORY:PROCEED �PROJECTCOMPLETE W ❑CORRECT WORK&PROCEED ❑ISSUE CERTIFICATE OF OCCUPANCY 0 ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY V BEFORECd1/ERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. ❑pH0T0 TAKEN INSPECTOR NIILL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR �CITATION ISSUED O INSPECTION RE(]UIRED.CALL TO ARRANGE ACCESS. Call for the next inspection 24 hours in advance. (952) 249-46�� OwnerfContractor on site: Inspector: '� White CopyllnsPector's File Canary CopylSite Notice